Med ED

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Med ED
2010-09-03 03:23:46

Lecture #7
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  1. Prevalence
    • as many men (80%) as women want to change their weight
    • ration b/w female to male ED is 3:1
    • one study found rate for EDNOS to be 16%M and 5.9%F
    • 12th graders with disordered eating behavior 31%M and 57%F
  2. ED cause for men and women
    • sociocultural influence
    • media
    • genetics
    • family background
    • self judgements
    • drive for thinness
    • trauma
    • perfectionist tendencies
    • escape, coping
    • diet/exercise behaviors that becomes obsessive
  3. 4 reasons why men develop ED
    • athletic performance
    • avoid medical illness father had
    • gay relationships
    • result of childhood teasing
  4. Consequences of disliking the way you look
    • poor body image
    • low self-esteem
    • weight prejudice
    • disordered eating
    • substance abuse
    • self-harm
    • too much or too little exercise
    • confusion about healthy eating
    • conflicts about sexuality
    • relationship problems
  5. Why men don't seek treatment
    • shame/stigma for having womens problem
    • male ED are not even on the radar
    • diagnostic criteria unclear or gener biased
    • unaware they have a problem
    • denial or machismo
    • men's nature to fix things on their own
    • lack of insurance coverage
  6. Generalities about treating males
    • early intervention has best chance for success
    • men have less resistance to weight gain
    • much less familiar with ED than women
    • men like to fix problems
    • men may feel less comfortable talking about problems
  7. Expand communication for male patients
    • men and women speak a different language
    • men need to learn how to express feelings
    • establish connections
    • address body image and sexuality issues
    • clear up misunderstandings about healthy levels of exercise
    • heal scars of childhood
    • explain genetics of weight and shape
  8. Set point
    • weight is not a number, its a range of 5-10 pounds
    • set point is the natural weight which is most healthy for you
    • based on heredity, age, food choices, general health, and activity level
    • body fights to maintain its set point
    • metabolism increases with extra calories